Organization
GULDMANN SOUTHEAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DURAND HILDRED MOON (PRESIDENT)
(770) 207-9547
Entity
Organization
Contact information
Practice address
2040 MOUNT VERNON RD NW, MONROE, GA 30656-4360
(770) 207-9547
Mailing address
2040 MOUNT VERNON RD NW, MONROE, GA 30656-4360
(770) 207-9547
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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